Risk Adjustment Coding Advisor

Fathom is on a mission to use AI to understand and structure the world’s medical data, starting by making sense of the terabytes of clinician notes contained within the electronic health records of the world’s largest health systems. Our deep learning engine automates the translation of patient records into the billing codes used for healthcare provider reimbursement, a process today that costs hospitals in the US $15B+ annually and tens of billions more in errors and denied claims. We are a venture-backed company that completed a Series B round of financing for $46M in late 2022.

We are seeking a Risk Adjustment Coding Advisor to contribute to Fathom’s next stage of growth. This role is a unique opportunity for an experienced medical coder with a proven track record of leading risk adjustment audits, client-facing experience and presentation skills, the drive to help a high-growth startup scale, and the desire to transform the future of medical coding. This is a cross-functional role working with colleagues in engineering, client success and strategy, operations, and sales. If this opportunity speaks to you, we want to hear from you!

Please note that this position is full-time and requires physical residency in the U.S.

 

Your role and responsibilities:

• Reviewing and auditing medical records and physician documentation for HCC accuracy
• Working with clients to establish and maintain risk adjustment coding accuracy thresholds
• Preparing executive presentations and reports for colleagues and clients
• Developing and enhancing internal and client-facing analytics and reporting
• Conducting strategic analysis and scenario modeling across functional disciplines
• Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
• Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams

 

We are looking for a teammate with:

• A current AAPC CRC certification or AHIMA RAC microcredential
• 5+ years recently leading audit plans for risk adjustment coding
• Consulting experience, including in middle revenue cycle, coding compliance and/or coding litigation
• Middle revenue cycle and/or health information management experience
• Experience managing in-house coding teams and/or coding vendors
• Experience working with and developing HCC medical coding guidelines, documentation requirements, and audit programs
• Strong knowledge of anatomy/physiology, diseases, and medical terminology
• Recent experience communicating verbally and in writing with external clients
• Fluency in productivity tools like Microsoft (Excel, PowerPoint) and Google Suite (Sheets, Docs, etc.)
• Enthusiasm for technological innovation in medical coding

 

Bonus points if you have the following experiences:

• Experience with clinical documentation improvement and education
• Experience with fee-for-service procedure and diagnosis coding
• Experience in an entrepreneurial/startup environment
• An MBA degree or equivalent experience

 

Compensation:

• Salary: $100,000 USD - $160,000 USD
• Company Equity

 

Benefits:

• PTO and Uncapped Sick Days
• Medical/Dental/Vision Coverage
• 401k Matching
• $1,500 USD Home Office Budget
• Support for ongoing medical coding education and certification
• Virtual and Local Office (San Francisco, New York City  and Toronto) Team Building Events
• Annual Company Off-site